| NPI | 1154831535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA 60754796) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 60624) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-08-22 |